MEDICARE: HOMAM ALKAIED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	55849	MN
2	207RH0000X	Hematology (Internal Medicine) Physician	55849	MN
3	207RH0003X	Hematology & Oncology Physician	55849	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P3244239	OTHER	OXFORD
3	2409346	OTHER	UHC
4	2514151	OTHER	GHI
5	3342N2	OTHER	EMPIRE BC/BS

General Provider Information

NPI Number	:	1952391716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOMAM ALKAIED MD

Provider Business Mailing Address
First Line	:	1001 E SUPERIOR ST
Second Line	:	STE. L101
City	:	DULUTH
State	:	MN
Zip	:	55802-2207
Country	:	US
Telephone Number	:	218-249-3081
Fax Number	:	218-249-7875

Provider Business Practice Location Address
First Line	:	1001 E SUPERIOR ST
Second Line	:	STE. L101
City	:	DULUTH
State	:	MN
Zip	:	55802-2207
Country	:	US
Telephone Number	:	218-249-3081
Fax Number	:	218-249-7875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	05/04/2021

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Directions to “ HOMAM ALKAIED MD” Practice Location

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